Drug intelligence / Profile preview

ATL-RIC

Development stage
Unknown
Lead developer
National Cancer Institute
Modality
Small Molecules, Recombinant Proteins and Enzymes, Antibody-Based Therapeutics
Administration
Intravenous, Oral, Subcutaneous
01

Overview

ATL-RIC is a multi-drug reduced-intensity conditioning (RIC) regimen developed by the National Cancer Institute (NCI) for patients with peripheral T-cell lymphoma (PTCL) or adult T-cell leukemia/lymphoma (ATL) undergoing allogeneic hematopoietic cell transplantation. The regimen is designed to provide potent lymphodepletion and cytoreduction while minimizing transplant-related toxicity. It consists of equine anti-thymocyte globulin (e-ATG), pentostatin, low-dose cyclophosphamide, busulfan, filgrastim, ruxolitinib, and zidovudine. This combination targets T-cells, DNA replication, JAK/STAT signaling, and viral reverse transcription, providing a comprehensive preparatory environment for stem cell engraftment in aggressive T-cell malignancies.

Other names
ATL-RIC conditioning regimen
02

Targets

CD2 (T-cell Surface Antigen CD2)IL2RA (Interleukin-2 receptor alpha subunit)CD3 (T-cell surface glycoprotein CD3)CD4 (T lymphocyte surface antigen)CD44 (CD44 antigen)PTPRC (Receptor-type tyrosine-protein phosphatase C)CD8A (CD8 alpha/beta Coreceptor)HLA-DR (Human leukocyte antigen DR)ITGAL (Integrin alpha L (CD11a))ITGB2 (Complement receptor 4)MHC I (MHC class I})ITGB1 (Integrin beta-1)MR1 (Thioesterase PNKD)CD86 (T-lymphocyte activation antigen CD86)ADA (Adenosine deaminase)N7-G (DNA guanine-N7 adduct)DNACSF3R (Granulocyte colony-stimulating factor receptor)JAK1 (Janus kinase 1)JAK2 (Janus kinase 2)Human immunodeficiency virus type 1 reverse transcriptase

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